Scott Edward Wagnon, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01088 Issued in OR

Practice address

2830 Crescent Ave
Eugene, OR 97408-7397

Phone

(541) 686-9000

Fax

(541) 242-4585

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lane County OregonGroup PAC ID 7416853833, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Signature Healthcare at Home Home health agency, Eugene, OR, CCN 387140

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.wagnon.p1@direct.lanecounty.nextgenshare.com
• Direct secure messaging: swagnon698365@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lane County Oregon

  • Federally Qualified Health Center (FQHC)
  • Springfield, OR
  • NPI 1326138314
  Medicare reassignment Care Compare group NPD
• Oregon Healthcare Resources, LLC

  • Multi-Specialty Clinic/Center
  • Eugene, OR
  • NPI 1982907572
  Medicare reassignment NPD
• Oregon Healthcare Resources, LLC

  • Urgent Care Clinic/Center
  • Eugene, OR
  • NPI 1215761002
  NPD
• American Pain Relief, LLC

  • Specialist
  • Tualatin, OR
  • NPI 1023386711
  NPD (past)
• Jimmy Huebert MD Inc

  • Sports Medicine (Internal Medicine) Physician
  • Tualatin, OR
  • NPI 1235307331
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Willamette Healthcare LLC

  • Home Health Agency
  • Eugene, OR
  • NPI 1013733211
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422748800000",
    "number": "1407951668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 S. ELM ST. #207",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133960",
            "telephone_number": "503-260-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CRESCENT AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087397",
            "telephone_number": "541-686-9000",
            "fax_number": "541-242-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNON",
        "first_name": "SCOTT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA01088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Wagner, SLP
• Mary Beth Wagner
• Megan Marie Wagner, D.C.
• Meghan Elisabeth Wagner, QMHP
• Alexander Wagnon, BS
• Kelsey Wagoner
• Andrew Wahl
• Lacey J Wahle
• Sarah Wakeen
• Brian Wakefield, M.D.

• Medical Physician Assistant in Eugene, OR
• Providers in Eugene, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.